The Case for A NEW, EXPANDED NEUROWORX FACILITY

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1 The Case for A NEW, EXPANDED NEUROWORX FACILITY

2 AMessage from the Neuroworx Chair In 2010, I was involved in a mountain bike accident that left me completely paralyzed from the neck down. I spent two months at Intermountain Medical Center where I received great care and made significant progress. After two months I was stable, but still struggled to perform even basic tasks. I searched nationwide for a rehabilitation center that could help me reach my goals. I considered some of the most renowned centers like Craig Hospital. In the end, I realized Neuroworx had the equipment, knowledge, and people to best help me. Christian Deputy Neuroworx Board Chair I realized Neuroworx had the equipment, knowledge, and people to best help me. Neuroworx is a unique clinic. It was founded to specifically treat individuals with paralysis. Its dedicated therapists utilize amazing equipment not otherwise available in the West. It is designed to provide extra treatment time compared to the standard allowed by insurance. All of this means more progress and better outcomes. It creates an opportunity for hope for those who feel devastated by a life-changing catastrophe. I m one of many in the ten-year tenure of Neuroworx to make extraordinary progress. As good as it is, we can do more, we need more. The new building will bring greater capacity and capability to help more individuals. Please consider joining the effort to ensure that Neuroworx is a premier, world-class facility. Christian Deputy Neuroworx Board Chair Christian Deputy in the hospital after being paralyzed in a mountain biking accident in 2010.

3 What is NEUROWORX? Neuroworx is a community-based, outpatient physical therapy clinic focusing on neurological rehabilitation for individuals experiencing paralysis from spinal cord injuries, brain injuries, and stroke. As a nonprofit charity it provides care regardless of ability to pay and a treatment philosophy that provides extended therapy time to all individuals. Neuroworx also offers a limited pediatric therapy program for children with neurological conditions requiring specialized care and equipment. Are there other places like Neuroworx? Neuroworx is the only independent facility of its kind in the Intermountain West and one of few in the country providing aggressive, outpatient physical therapy with extended-time sessions. Why Neuroworx? The last 20 years have seen a marked decrease in the hospital stay for neurological injuries. An individual with a spinal cord injury who used to spend 4 6 months receiving in-hospital therapy is now discharged in as little as 4 6 weeks. The burden of rehabilitation has shifted to the outpatient setting. Unfortunately, outpatient benefits remain restricted and do not discriminate by severity of injury. THERAPY HOURS ALLOTTED IN 1995 vs Hospital Stay Inpatient Therapy Outpatient Therapy Total Therapy Then 6 months 400 hours 30 hours 430 hours Now 6 weeks 100 hours 30 hours 130 hours During this same time period of diminishing therapy, researchers and clinicians have discovered the damaged nervous system has a much greater potential to recover function than previously believed, but the right type of therapy and the right amount of time is critical. Neuroworx provides the expertise, equipment, and time necessary for better outcomes.

4 The BEGINNING Jan Black and Dale Hull Neuroworx Co-Founders Against The Grain How do you describe an outpatient rehabilitation facility whose treatment model is based on what the individual users need to improve rather than the amount of care allowable by insurance? Most would say that such a model could never exist and that the idea is just plain crazy. Neuroworx co-founders Jan Black and Dale Hull have heard variations on both themes. Yet, ten years after starting a specialized nonprofit physical therapy clinic for paralysis, the model is not only viable, but is flourishing. This choice of superior outcomes over optimal revenue has garnered thanks from the individuals and their families devastated by catastrophic circumstances as well as support from many who see the benefit of this do-the-right-thing philosophy. Jan Black on day one of Neuroworx. Dr. Hull hospitalized in 1999 with quadriplegic paralysis. Humble Beginnings After Dr. Dale Hull was paralyzed in 1999 he underwent therapy for three and a half years, working with physical therapist Jan Black. During that time, both talked about joining forces to create a nonprofit outpatient physical therapy clinic that would provide outstanding rehabilitation based on patient needs. Neuroworx had its beginning in 2004 with only 1,000 square feet, 1 therapist, 1 mat, 1 ball, a pair of hand weights, and a milk crate file. It provided creative, specialized therapy for those with paralysis, regardless of the ability to pay. For over ten years, it has provided care for more than 800 patients mostly from Utah as well as 24 other states and 4 foreign countries. It s earned an unequaled national reputation and respect for its evidence-based, creative, and innovative neurorehabilitation provided by some of the finest therapists you ll find anywhere, utilizing cutting edge techniques and equipment. This all has been made possible by the financial support of donors, funders, and community partners.

5 The PRESENT 2014 pediatric By the end of 2014, Neuroworx had grown to 4,000 square feet, 5 therapists, a Hydroworx pool, a Lokomat, a Therastride, other specialized therapy equipment, and a limited program.

6 Our FUTURE 2015 The new Neuroworx building is a two-story 24,500 square foot structure. The main floor will primarily be home to the adult program, including physical and occupational therapy, with the lower level focusing on pediatric therapy. Location S. State St. Sandy, UT.

7 Main FLOOR Lower LEVEL

8 A land therapy area with state-of-the-art rehabilitation equipment.

9 An aquatic therapy area with two different specialized pools for both adults and children. Named gift by the Sorenson Legacy Foundation

10 A gymnasium/multi-purpose room for therapy, wheelchair sports, seminars, and social events. Named gift by the Larry H & Gail Miller Family Foundation

11 A patio therapy area with stairs and varied terrain for wheelchair and walking skills and informal gatherings.

12 The NEED Neuroworx continues to grow and frankly we're out of space. A problem that we are excited to have and ecstatic to remedy. After ten years, we are more convinced than ever that more is needed and more is possible. NEUROWORX VISITS PER YEAR As you can see in the chart above, the number of visits in 2014 grew by 38% over the previous year. Two physical therapists have been added in the past 15 months. Equipment has been added. The pediatric program is a success and the number of children who can benefit is far greater than we can currently treat. We re not only out of space; we re out of good space. There is more that can be done to promote the neurological recovery of individuals with paralysis. A new building will help create a first-class environment that promotes hope. More state-of-the-art equipment will enhance the focused expertise of the Neuroworx therapists. The increased capacity will allow more individuals to be helped. The improved capability will help us do it more efficiently and effectively. The aspiration of the Neuroworx co-founders and Board is to continue providing superlative neurological rehabilitation in a premier, world-class outpatient facility.

13 The PLAN Construction on the new Neuroworx building began October 30, Workers Compensation Fund (WCF) is building it as part of a master-planned commercial development in Sandy, Utah. WCF has stepped forward to move this initiative ahead for several reasons. They recognize the compelling need for us to expand immediately. The WCF clients with paralysis benefit from the therapy provided through Neuroworx. The WCF Board of Directors believe that Neuroworx is more than just a PT clinic it is community asset, poised as the premier provider of hope and healing. The new building will be a two-level, 24,500 square foot structure specifically designed for Neuroworx. It includes a neuroaquatic center, an enlarged land therapy area with the capacity to add the latest state-of-the-art equipment, a high school sized basketball court/multi-purpose room, amenities for family and staff and an outdoor skills and socialization area. The lower level will be a 7,500 square foot pediatric therapy center to provide complementary interventions to the robotic ambulation and aquatic therapy received on the main floor. Children with various neurological conditions such as cerebral palsy will be treated along with spinal cord and brain injuries. Neuroworx will move in immediately as a lessee with an option to purchase the building at any time. This is a wonderful opportunity, but WCF s help can only go so far. Neuroworx must stand on its own. In order for Neuroworx to reach its aspiration of being a premier neurorehabilitation facility, we need capital funding. Our independence will allow resources to be directed toward patient care, clinical research, and the education of a new generation of therapists. It s been ten and half years and we are just getting started. We have a determined vision to change people s lives and to be a positive influence in the world of neurological rehabilitation. Please join us. Please consider contributing to the Neuroworx mission of providing superlative therapy to individuals devastated by catastrophic conditions.

14 Remarkable JOURNEYS Every individual who experiences a spinal cord injury, brain injury, or other paralysis-inducing condition finds an unbelievably difficult path. Each is an odyssey of incredible challenges and tremendous effort, each story personal, each person extraordinary. Veronica was a single mother of two small boys when a car accident left her quadriplegic in a power wheelchair and needing full-time nursing care. Her desire was to go home to her boys. She came to Neuroworx with the primary goal of gaining enough strength to self-transfer. Eighteen months of two-times-a-week therapy later and she was not only transferring but was using a manual chair, had lost a large amount of weight and went home to be a full-time mom again. Her improved independence, health, self-esteem, and quality of life are what the Neuroworx mission is all about. Noah is a 2-year-old born with unusual nervous system anomalies resulting in a constellation of difficulties, not the least of which was very poor muscle tone. He had stopped showing progress with traditional methods. He began working in the special therapy pool and the robotic ambulator, both unique to Neuroworx, as well as a vibration plate. A year after starting, he is sitting up on his own, can walk in a baby walker, and has even improved his arm and hand function. His parents report improved feeding, fewer emergency room visits, and the most rewarding of all more engagement, interaction, and big Noah smiles!

15 Chris was an active, athletic 28-year-old in 2010 when he experienced quadriplegic paralysis from a neck injury. He was hospitalized in his home state of Indiana and afterward spent time in a nursing home trying to convince his insurance company for more therapy, which was denied. Through a mutual acquaintance he came to Neuroworx in Here are Chris own words: I came to Neuroworx 6 months after my injury, still wheelchair bound, and spent a year and half in therapy there. I left my wheelchair behind when I came home in I view Neuroworx as the gold standard in SCI recovery. They are changing the paradigm in outpatient rehabilitation through aggressive, activity-based, and longterm access. Chris is starting a clinic in Indianapolis directly patterned after Neuroworx. It is called NeuroHope. W a lte was r struck by a car while he walked to school early one morning in March He was 16 years old when the accident left him with multiple fractures and a significant brain injury. After a long year of hospitalizations and rehabilitation, Walter still had markedly diminished physical ability and altered mental function. He began outpatient physical therapy at Neuroworx in April of Initially he had difficulty standing upright. Now he s walking with minimal assistance. His left arm is also more functional. What is even more remarkable is Walter s improved mental and cognitive condition. When he returned to school he received the Hunter High Never Quit Award. Walter walked to the center of the gymnasium holding the hands of his father while the crowd chanted, Walter, Walter,.

16 Our MISSION Our mission is to promote the rehabilitation of spinal cord injuries and other neurological conditions and to create and support the finest comprehensive outpatient neurological rehabilitation facility in the region. Thank You We very much appreciate the time you have taken to learn about Neuroworx. It is an amazing place full of extraordinary people on remarkable journeys of recovery. It is our privilege to be a part of the process. Board of Directors Jan Black MS, PT Co-founder Dale Hull MD, MPA Co-founder Alan Astle Dennis Lloyd Dave Chidester Al Mansell Christian Deputy Shaun Michel Neuroworx is a qualified 501(c)(3) nonprofit charity. EIN [email protected] neuroworx.org CONSTRUCTION TEAM